The quest to free Southland residents from a toxic liability

It’s been a battle beset by fear, floods and corporate negligence. But will big business finally take responsibility for the toxic waste dumped around Southland? The Paper Mill is part of Frame, a series of short, standalone documentaries produced by Wrestler for The Spinoff. Made with support from NZ On Air. Watch more here. It … Read more

We need and deserve fit-for-purpose public health policy

New Zealand’s public health infrastructure has swung wildly between comprehensive and chaos over the past century. Preventive and social medicine expert Dr Warwick Brunton says there’s never been a better time to learn from the past and reimagine public health in Aotearoa. Anxieties about significant rundown of public health capacity in the Ministry of Health … Read more

The lockdown stamped out a deadly virus. Its health impact did not stop there

In 2020, the Covid-19 pandemic prompted New Zealand and much of the world to undertake something few of us had ever contemplated: a near-total lockdown of society. In this Lockdown legacies series, James Dann explores the impacts of those extraordinary measures, intended and otherwise. Today: From traffic accidents and seasonal flu to heart disease, the … Read more

Election 2020: The health policies in two minutes

Voting is under way in the New Zealand general election. Explore the main parties’ pledges at Policy.nz, but here’s a whistle-stop tour of what’s on offer in the world of health. Read more two-minute policy wraps here Over 2020, the New Zealand public has learned what “PPE” means; the director general of health became a revered … Read more

As a doctor, I know better than most that climate change is a healthcare issue

Combatting climate change as a healthcare organisation involves more than simply reducing its carbon footprint, writes David Galler. It means seeing climate change and wellbeing as intertwined – and that what’s good for the environment is always good for health. This pandemic, as overwhelming as it is, will eventually pass. But before too long there … Read more

Could nature really be the best medicine?

A new breed of medical researchers and ecologists are working together to address the fundamental disconnect between humans and nature, which they say could help solve New Zealand’s worsening public health issues. We’ve all watched aghast as the impacts of Covid-19 destroy lives and wreak havoc on medical systems worldwide, by overwhelming exhausted staff and … Read more

The health system review ignores what really shapes our wellbeing

Something very big is missing from the proposed overhaul of our health system, writes Professor Boyd Swinburn.  The long-awaited Simpson review of our health sector makes a powerful call to refocus the system on creating better health outcomes through prevention. But something very big is missing. The focus is on the healthcare institutions themselves, like … Read more

Andrew Geddis: The level two law is necessary – and full of flaws

The shortcomings seem to reflect a broader problem with how Māori have been overlooked in the plans to move to level two. On Tuesday and Wednesday, parliament raced into law the “new normal” framework for our lives until Covid-19 is finally vanquished. That sounds dramatic, but it’s true. The now in force Covid-19 Public Health … Read more

Safe sex: Love in the time of Covid-19

Within the rapidly changing landscape of the Covid-19 pandemic, physical distancing is fast becoming the new normal. But what does that mean for our sex lives? RNZ‘s Melody Thomas writes. Warning: Contains sexual references. This advice is not for everyone. If you’re dealing with the effects of sexual abuse and assault, here is a list of support … Read more

A beginner’s guide to public health

The Covid-19 crisis has propelled the field of public health to the foreground. A few simple public health concepts could help keep us on track as we near one month in level four, writes Louise Thornley. Public health is suddenly part of everyday conversation. Many of us have become addicted to the daily Covid-19 update, … Read more

Burps, farts and boogers. Our first eight weeks with twins

Being a new parent is scary and overwhelming and you can forget that it’s also full of happiness. Simon Day shares the moments of joy that have pulled him through the first eight weeks of being a new dad to twins.   It’s 3:36am and I’ve just fed, changed, burped, and put my twin boys back … Read more

As we prepare for Covid-19, generosity and respect must trump stigma and fear

The conversation around how we prepare for coronavirus here needs to be guided by a sense of our common humanity, write Ruth Cunningham, Charlotte Paul, Andrew Moore, Ayesha Verrall of the University of Otago. Borders have been closed, arrivals from Wuhan are in quarantine, and New Zealanders who have travelled from China are being asked … Read more

Flu season is worrying hospital staff and you should be worried, too

Sources at Middlemore Hospital have expressed concern that two patients may have died after catching the flu when being admitted.  As flu season applies pressure to hospital resources around the country, there are concerns two patients may have died after catching influenza at Middlemore Hospital, according to two sources spoken to by the Spinoff. When … Read more

Kiwi kids aren’t eating enough veg, and no one knows what to do about it

With children’s vegetable intake in decline, decision makers are too focused on pointing the finger at parents, a new study suggests.  When it comes to children’s nutrition, key players in our food system are stuck on the idea of individual responsibility. That’s a key finding of new research that surveys decision-makers about their views on New … Read more

‘You gotta push this through, bruv’: Watch Jamie Oliver’s sugar tax message to NZ

In a video filmed for a conference the health minister was scheduled to open but then withdrew from, celebrity chef Jamie Oliver implores David Clark to pass a sugar tax. Watch below.  Following on from the dressing down he directed at the National Party for failing to attend a sugar tax symposium last year, … Read more

Eight reasons to slam the door on your car commute, based on the science

Commute week: The arguments for ditching your four-wheel addiction are overwhelming, writes public health expert Caroline Shaw Commuting to work, study or school bookends most people’s days. Love it or hate it, it takes time. According to the NZ Time Use Survey we spend on average 46 minutes per day traveling  to work and 52 … Read more

Beyond the toxic mould: how we can get our DHBs back

District Health Boards were set up to do a lot more than direct funding and monitor wait times. It’s time we got back to DHBs’ original aspirations – for the good of New Zealand’s health, writes former DHB chair Peter Glensor. Over the past week, a sobering picture of a terrible maintenance backlog – toxic … Read more

How can councils cut the number of people dying early? Be more like Wellington

Can your local council stop you getting heart disease and cancer? Our research into the way people get around New Zealand cities suggests it can, writes public health expert Caroline Shaw Local and regional councils are important. They arrange for the rubbish to get taken away, deal with water on our behalf, make decisions about … Read more

Taking New Zealand’s institutional racism in health to the UN

In August a group of New Zealand researchers presented a report to the UN detailing the effects of racism on Māori. Simon Day spoke to AUT’s Dr Heather Came about the causes and cures for New Zealand’s racism. When Dr Heather Came listened to the New Zealand government delegation present to the United Nations Committee … Read more

Surely it’s time for a grown-up conversation about abortion?

More than 13,000 abortions were performed in New Zealand last year. Despite this, abortion in this country is enshrined in the Crimes Act. Jessica Hammond Doube doesn’t think it should be, and she’s doing her best to do something about it. The kaupapa of The Spinoff Parents is to uplift, love, and support parents – … Read more

How to stop smoking (hint: it’s not making cigarettes more expensive)

New Zealand already has some of the highest tobacco taxes in the world, and now some campaigners are calling for them to raised much further. But how effective would that be? Not very, say tobacco-control experts Marewa Glover and David Sweanor. What’s needed are solutions that empower smokers, not punish them further.  The government’s new … Read more

The leadership industry has infected our health sector and nobody has the cure

‘Leadership’ positions are reportedly set to skyrocket under a new DHB restructure plan. But what’s needed isn’t yet more overpaid leaders, writes Andrew Dickson – it’s efficient and effective managers. I was staring blankly at the departure screen at Auckland airport, waiting for a flight back to Palmerston North, when I noticed someone who had … Read more

‘It’s complete bullshit. It’s so disingenuous’: Dr David Galler talks health and politics

The author of the acclaimed book Things That Matter talks to Gareth Shute about health policy in the lead-up to the election – about the obesity crisis, the social investment approach and the kind of place New Zealand wants to be. Dr David Galler has worked at the intensive care unit of Middlemore Hospital for 25 … Read more